Board Vitals Otolaryngology and Dental Medicine

Question 1

Where is the tuning fork placed in the Weber test?

Answer 1

In the center of the forehead

Question 2

Where is tuning fork placed in the Rinne test?

Answer 2

Mastoid and then in air in front of ear

Question 3

In a normal Rinne test - is air conduction or bone conduction louder?

Answer 3

Air conduction

Question 4

If bone conduction is louder in the Rinne test - then what is the problem?

Answer 4

Conductive hearing loss on that side

Question 5

In case of sensorineural hearing loss - what are the Rinne test results?

Answer 5

Normal

Question 6

What is the purpose of the Weber test?

Answer 6

Lateralizing the hearing loss

Question 7

Where does the Weber test lateralize in sensorineural hearing loss?

Answer 7

Unaffected side

Question 8

Where does the Weber test lateralize in conductive hearing loss?

Answer 8

Affected side

Question 9

What is the treatment for sudden onset sensorineural hearing loss?

Answer 9

Steroids

Question 10

What are the two main causes of sensorineural hearing loss in younger patients?

Answer 10

• Meniere’s disease
• Acoustic neuroma/vestibular schwannoma

Question 11

What is the best diagnostic test for a vestibular schwannoma/acoustic neuroma?

Answer 11

MRI brain

Question 12

What is the treatment of acute otitis media?

Answer 12

Oral amoxicillin-clavulanate (Augmentin)

Question 13

What is the treatment of acute otitis externa?

Answer 13

Topical antimicrobials

Question 14

What is the most common organism in external otitis?

Answer 14

Pseudomonas aeruginosa

Question 15

What is the most common organism in otitis media?

Answer 15

Streptococcus pneumoniae

Question 16

Impairment of the left recurrent laryngeal nerve due to mechanical disruption of the nerve from enlarged cardiovascular structures.

Diagnosis?

Answer 16

Ortner’s syndrome

Question 17

Is CT or MRI more sensitive for fungal sinusitis?

Answer 17

CT

Question 18

What is the treatment of choice in vasomotor rhinitis?

Answer 18

Ipratropium bromide nasal spray

Question 19

In case of malignant otitis externa a technetium scan will remain positive indefinitely.

True or false?

Answer 19

True

Question 20

Is a gallium scan specific for malignant otitis externa?

Answer 20

No

Question 21

Can malignant otitis externa be ruled out in case of a negative CT scan?

Answer 21

No (can be negative in early disease)

Question 22

What is the treatment of acute bacterial rhinosinusitis?

Answer 22

Amoxicillin
Amoxicillin-clavulanate

Question 23

Is imaging necessary in uncomplicated sinusitis?

Answer 23

No

Question 24

What is the most common cause of adult bacterial epiglottitis?

Answer 24

Streptococcus species

Question 25

Is montelukast more or less effective in treating allergic rhinitis than oral antihistamines?

Answer 25

Less effective

Question 26

Is montelukast more or less effective in treating allergic rhinitis than inhaled corticosteroids?

Answer 26

Less effective